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Role Summary

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HIGHLIGHTS

Senior health actuarial leader (Pharmacy/PBM) responsible for leading PBM actuarial staff, pricing and actuarial modeling to support financial objectives. Requires an FSA and experience interacting with medical, underwriting, sales, finance and regulators. Remote role based in Baltimore, MD (US).

JOB DESCRIPTION SUMMARY

  • Lead PBM actuarial team and set long-term actuarial strategy
  • Oversee actuarial modeling and pricing for pharmacy/health products
  • Represent Actuarial to internal stakeholders and state/federal regulators
  • Fellow of the SOA (FSA) required with 8+ years healthcare pricing experience
  • Remote role; must be eligible to work in the U.S. without sponsorship

DOMAIN EXPERTISE

  • pharmacy benefits (PBM) actuarial experience
  • health care pricing and actuarial experience
  • experience with HMO, POS and other health products
  • management of actuarial teams (3+ years)

KEY REQUIREMENTS

  • Fellow of the Society of Actuaries (FSA) required
  • 8+ years of pricing and actuarial experience in health care
  • 3+ years of people management experience
  • Must be eligible to work in the U.S. without sponsorship

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial leader (Pharmacy/PBM) responsible for leading PBM actuarial staff, pricing and actuarial modeling to support financial objectives. Requires an FSA and experience interacting with medical, underwriting, sales, finance and regulators. Remote role based in Baltimore, MD (US).

JOB DESCRIPTION SUMMARY

  • Lead PBM actuarial team and set long-term actuarial strategy
  • Oversee actuarial modeling and pricing for pharmacy/health products
  • Represent Actuarial to internal stakeholders and state/federal regulators
  • Fellow of the SOA (FSA) required with 8+ years healthcare pricing experience
  • Remote role; must be eligible to work in the U.S. without sponsorship

DOMAIN EXPERTISE

  • pharmacy benefits (PBM) actuarial experience
  • health care pricing and actuarial experience
  • experience with HMO, POS and other health products
  • management of actuarial teams (3+ years)

KEY REQUIREMENTS

  • Fellow of the Society of Actuaries (FSA) required
  • 8+ years of pricing and actuarial experience in health care
  • 3+ years of people management experience
  • Must be eligible to work in the U.S. without sponsorship

TECH STACK

  • No tech stack specified

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Job Overview

Salary
$169k - $314k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced health actuary (Manager level) with an FSA and 8+ years in healthcare/PBM pricing who excels at leading teams, influencing stakeholders, and delivering actuarial models to support financial strategy.

FSA

Benefits

Health InsuranceAnnual Bonus401(k) Plan
Shortlist Forming
Closing Soon
52d
52 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$169k - $314k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced health actuary (Manager level) with an FSA and 8+ years in healthcare/PBM pricing who excels at leading teams, influencing stakeholders, and delivering actuarial models to support financial strategy.

FSA

Benefits

Health InsuranceAnnual Bonus401(k) Plan
Shortlist Forming
Closing Soon
52d
52 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Health/Insurer/Manager Level
CareFirst

Actuary - Pharmacy (Remote)

CareFirst•Baltimore, United States•1mo ago
RemoteMedicare AdvantageHealth OtherPricing & RatingUW Support & Portfolio ManagementProduct Development & Plan Design